Randolph County Department of Child Services
Reach All Randolph County
October 14, 2017 Winchester, IN. Goodrich Park Disc Golf Course.
Player Registration and Waiver Form
Waiver of Liability: In consideration of the foregoing, I ( ), do hereby release and discharge all sponsors, coordination groups, volunteers, the disc golf course, the designer, Goodrich Park and it’s organizations, and any individuals associated with this event, for all claims of damages, demands and actions whatsoever, arising or growing out of my participation in this event. I recognize that participating in a competive sport carries with it risk of injury or death and hereby accept this risk. I understand that the tournamanet director, assistant directors, Goodrich Park or its organizations are not responsible for any damage or items lost and are not responsible for any parking issues or damages to vehicles parked at Goodrich Park. I also waive any right to photos taken or likenesses of being used as promotion or advertisement from this disc golf tournament.
I acknowledge and fully understand that my participation in the EVENT may involve the risk of injury, including the possibility of serious injury or death, not only from my own actions, but also from the action or inaction of others, the condition of the premises, or the failure of the equipment used. I knowingly agree to assume all such risk, known and unknown, and assume full responsibility for my participation.
I have read this waiver and release agreement, fully understand its terms, and understand that I have given up substantial rights by signing it, and I sign it freely and voluntarily without any inducements.
NAME:________________________________________ T-Shirt Size:________
City:____________________________, State: __________ Age:______________
Signature of Guardian (if participant is under 18):_______________________________
Fee $25 (before October 2nd at 12)(includes t-shirt):_______________(check or cash)
Fee $30 (after October 2nd at 12)(t-shirt while available):________________(check or cash)
Please mail form and money to Nicole Mock at 325 S Oak St Suite 201 Winchester IN 47394 and make checks payable to Jessica Maxwell.